CMS Price Transparency Data
Blood test, comprehensive metabolic panel
Facility: Stonewall Memorial Hospital District
Billing Code: 80053 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$23
about 2.1× the $11 Medicare rate · typically $10–$83
modeled estimate · not a bill or quote
Medicare pays $11 Fair price $23 Cash price $170 Hospital's list price $226
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $40 - $142 | 379% |
| Blue Cross Blue Shieldmajor | $206 | 1951% |
| Aetnamajor | $142 | 1345% |
| Cignamajor | $181 | 1714% |
| Humanamajor | $142 | 1345% |
| + 1 smaller / regional plan | $192 |
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Other Procedures at Stonewall Memorial Hospital District
Compare: Blood test, comprehensive metabolic panel at other TX hospitals
- PAM Specialty Hospital of San Antonio Medical Center · San Antonio $7
- Bellville Medical Center · Bellville $8
- PAM Specialty Hospital of Texarkana North · Texarkana $8
- Ascension Providence · Waco $9
- University of Texas M. D. Anderson Cancer Center · Houston $9
- Fort Duncan Medical Center · Eagle Pass $9
- South Texas Health System · Edinburg $9
- Otto Kaiser Memorial Hospital · Kenedy $9
Insurance negotiated median for the same procedure, sorted lowest first.